I took Sunil's advice and added two other groups of medical words. (Had trouble with the Merriam Webster and it is copyrighted (trying to keep this legally shareable)

I have updated the userdic.tlx file on dropbox:

https://www.dropbox.com/sh/z1vxfny7khqr0kz/3bFTTRIA-I

Let me know how it works for you.

Wendell
Pediatrician in Chicago

The patient's expectation is that you have all the answers, sometimes they just don't like the answer you have for them